Legacy Society Information Form

Thank you for your interest in our Legacy Society. We are honored that you feel inspired to help us ensure public radio is here for future generations. We look forward to speaking with you about your future gift. Please complete the form below.

For assistance with your form please contact Katherine Gfeller, Major Gifts Officer at (626) 840-9233 or kgfeller@scpr.org.

I/We:

have included SCPR in my/our estate plan.would like to receive information about planned giving and the SCPR Legacy Society.am/are interested in learning about gift options that will provide me with income.

Contact Information

First Name

Last Name

Address

City

State

Zip or Postal Code

Email Address

Preferred Phone Type

Preferred Phone

Date of Birth

Spouse / Partner First Name (If Applicable)

Spouse / Partner Last Name (If Applicable)

Spouse / Partner Date of Birth (If Applicable)

YES!

The gift is in my/our:

WillRevocable trustRetirement accountLife insurance policyCharitable remainder trustOther

Please enter the approximate value of your future gift if it were to be realized today.

Please enroll me/us in the Legacy Society as follows:

Select One:

Feel free to publish my/our name(s) among your lists of Legacy Society members.Do not publish my/our name(s) on the Legacy Society roster. I/we prefer to be listed as "anonymous."

(NOTE: SCPR Legacy Society listings will never reference your gift amount. We understand that this amount can change over time, or may be revoked.)

I/we wish my/our name(s) to appear as (for example, Jane D. and John Q. Doe):

Gift designation and/or any comments on why you decided to make SCPR part of your legacy.

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